Days 5 to 8 of the Pre-op Bariatric Diet

January 23, 2020

I’m really liking my low fat or fat free cream of chicken soup as you can probably see. I look forward to my soup, but everyone is different. You may want to change up the kind of soup you have over the course of the two weeks. Just be sure to follow the requirements of the diet. After surgery, it’ll be slightly different – you will not be satisfied with only one or two dishes every day. So, to prepare for the long-term, it’s helpful to test out some of your culinary creativity during this program!

Continue reading →

Considerations of Repairing a Hernia When Pregnant

January 20, 2020

We know that the risk of developing a hernia is greater when abnormal pressure is placed on the abdominal wall. And rarely is more pressure placed on the abdomen than during pregnancy. Indeed, during this time there is a risk of a midline or umbilical hernia developing.

Continue reading →

The First 4 Days of the Pre-op Bariatric Diet

January 16, 2020

The first 48 hours on a liquid diet is the most challenging. You will be very hungry until your body induces ketosis. Ketosis occurs when the amount of carbohydrate fuel (fuel that is needed to run the body) drops below a critical level, forcing the body to turn first to protein and then fat reserves to do the work carbohydrates normally do. You must drink 64-96 ounces of water daily to remove the waste products in the blood stream.

Continue reading →

Introduction to Our 2-week Pre-Op Diet

January 9, 2020

Hi, my name is Kathy Kapner and I’m the bariatric coordinator here at Advanced Surgical Associates. One of our patients’ biggest concerns is their diet before and after bariatric surgery. I am not a bariatric surgery patient, but I do want to show you what to expect. So, today I’m starting the 2-week pre-op diet. I’m going to document my progress with 4 blog entries plus the one you are reading now.

Continue reading →

When Does Abdominal Pain Require Surgery?

January 6, 2020

We all get aches and pains in the abdomen for a multitude of reasons. Usually, this discomfort goes away rapidly or we can pinpoint the cause based on recent events. However, there is a fine line between benign abdominal pain and serious signs that may require surgery or other medical intervention. Unfortunately, for some, not knowing went to go to the doctor leads to an urgent or emergency situation that makes treatment more difficult. But how do you know when abdominal pain may lead to surgery? To understand that, it is important to discuss the different kinds of abdominal pain including location.

Continue reading →

How to Maintain or Lose Weight During the Holidays

December 17, 2019

It can be very tough to keep your weight in check during the holidays. There’s just so much going on. Whether it’s the stress of hosting a gathering, or the food and drink temptations at every turn, it takes a lot of willpower to keep your composure and eat well. And while it is OK if you over-indulge once or twice in December, it’s a lot more satisfying when you get through the holidays at the same weight or even having lost a few pounds. It’s not easy; so let’s discuss some good tips to get there…

Continue reading →

White Grains versus Whole Grains versus Multi Grains

December 3, 2019

With all the hype about low-or-no-carb diets, carbohydrates have become the evil of our daily nutrition. To be sure, certain carbs are worse than others – these are usually in the form of white, empty carbs like white rice, white flour, white sugar, white bread and more. While manufacturers have tried to spin the healthfulness of these empty carbs by adding vitamins and nutrients, they are just filler.

Continue reading →

I’m Worried About Mesh for My Hernia Repair, Is It Really Necessary?

November 22, 2019

Ever since the introduction of hernia mesh, the long-term complication rates – mostly in the form of hernia recurrence – have dropped dramatically. One of the biggest causal factors of hernia recurrence is a non-mesh repair. And while there are some newer, non-mesh techniques that have partially addressed the problem, recurrence is still a major issue.

Continue reading →

Weight Loss in The Six Months After Bariatric Surgery

November 5, 2019

The early postoperative period after weight loss surgery is both an exciting and daunting time in every patient’s life. Undoubtedly, there is the potential for exceptional weight loss and disease resolution, making life healthier and more enjoyable. On the other hand, every bariatric patient understands going in, that the post-bariatric lifestyle is not easy and requires a great deal of dedication and motivation to achieve these goals and maintain their weight loss.

The first six months after bariatric surgery are crucial to setting the tone for longer-term weight loss, and ultimately maintaining a lower, normal body weight.

Continue reading →

Medications That Can Harm Your Pouch

October 15, 2019


I often get asked which medications are harmful to your pouch after gastric bypass. The class of drugs that are most harmful are NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). There are many NSAIDs out there including:

  • Aspirin
  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Rofecoxib (Celebrex)
  • And more…

Continue reading →

← Older posts
Advanced Surgical Associates is one of the first exclusively surgical groups practicing in Union County New Jersey. And that is just the first of many firsts for ASA. For over 40 years, we have pioneered breakthrough surgical patient care in North Jersey in both general and weight loss surgery. ASA also offers gastric bypass, gastric sleeve and gastric banding to those suffering from obesity in New Jersey.
© 2020, Advanced Surgical Associates, Bariatric & General Surgery, Springfield, New Jersey